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Dupuytren's Fasciectomy

The purpose of this page is to inform you about the details of a Dupuytren’s fasciectomy

 Your GP or health care team should be able to fill in any gaps if you need further information.

Dupuytren’s disease

Scar-like tissue on the palm of your hand and finger are typical symptoms of the condition known as Dupuytren’s disease. If the condition worsens the fibrous tissue can cause the fingers to curl into the palm as the tissue contracts. This is known as Dupuytren’s contracture.


Figure 1
Dupuytren's contracture causing deformity of fingers
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The procedure

Surgery will give you back the use of your hand and straightened fingers.

Is there a substitute for surgery?

Surgery is by far the most effective treatment for this condition.

One other possibility that is sometimes used is a needle aponeurotomy. But this procedure does not offer the best chances regarding the return of the disease.

A treatment which is as yet unproven over time, is an injection of the drug collagenase into the band of tissue causing the problem.

Radiotherapy can be offered as a treatment option at select centres.

All you need to know about the surgery

The surgeon may make a cut in the fibrous tissue in the palm or remove the fibrous tissue repairing it with skin grafts. The choice of anaesthetic procedure depends on the surgical technique.

Post surgical complications – general

  • Pain
  • Scarring
  • Bleeding
  • Infection of the surgical wound

Post surgical complications – specific

  • Stiff finger joints
  • No feeling in the parts of the hand operated on
  • Fingers are not straight
  • Injury to the finger artery
  • The surgical wound does not heal correctly
  • Return of Dupuytren’s disease
  • Complex regional pain indicated by severe pain, stiffness and loss of hand use

Recovery timings

Discharge on same day as surgery.
Keep the hand and fingers moving gently; exercise helps everything to return to normal more quickly.
Check with your doctor before exercising.
The hand may take a little time to settle down and feel normal again.

Synopsis

The procedure Dupuytren’s fasciectomy has good results in straightening fingers and returning hand use.

References: 

EIDO Healthcare Limited - The operation and treatment information on this website is produced using information from EIDO Healthcare Ltd and is licensed by Aspen Healthcare. 

The information should not replace advice that your relevant health professional would give you.

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